Cardiac Catheterization Laboratory Volume Changes During COVID-19—Findings from a Cardiovascular Fellows Consortium

Kadavath, Sabeeda; Mohan, Jay; Ashraf, Said; Kassier, Adnan; Hawwass, Dalia; Madan, Nidhi; Salehi, Negar; Bernardo, Marie; Mawri, Sagger; Rehman, Karim Abdur; Ya’qoub, Lina; Strobel, Aaron; Dixon, Simon; Siraj, Aisha; Messenger, John C.; Spears, J. Reid; López‐Candales, Angel; Madder, Ryan D.; Bailey, Steven R.; Alaswad, Khaldoon; Kim, Michael C.; Safian, Robert D.; Alraies, M. Chadi

doi:10.1016/j.amjcard.2020.06.009

Cited by 13 publications

(12 citation statements)

References 3 publications

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“…It has been reported that the number of emergency admissions for non-COVID-19 infections decreased among all admissions to Veterans Affairs hospitals 1 along with the number of cardiac catheterizations. 2 However, this phenomenon does not apply to our hospital, as it is in a depopulated area.…”

Section: Discussionmentioning

confidence: 86%

The Impact of the COVID-19 Outbreak on Intensive Care in Northern Saitama Japan

et al. 2021

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BackgroundWe examined and compared the actual impact of COVID-19 on local medical care in northern Saitama Japan, especially in intensive care units (ICUs), before (2019) and during (2020) the pandemic. MethodsThe impact of COVID-19 on emergency care responses was compared with acceptances and refusals in 2019 and 2020. We also examined the number of surgeries performed by ICU surgical departments. The impact on intensive care was examined regarding the numbers of incident reports and the severity percentage calculated from the integrated team medical care and safety system. We also compared the overtime work of physicians working. ResultsIn 2019, there were 2,136 emergency patient requests, and 1,811 patients were received. In contrast, in 2020, there were 2,371 emergency patient requests, and 1,822 patients were accepted, representing a decrease of 76% (p = 0 931). There were signi cantly more refusals in 2020, 303 (14 1%) in 2019 and 506 (21 3%) in 2020 (p = 0 0004). In 2020, the number of surgeries increased in neurosurgery, cardiac surgeries, and vascular surgeries and over time increased in all surgical units. There were 396 incidents reported in ICUs in 2019; this increased signi cantly to 510 in 2020 (p = 0 001). ConclusionEven though intensive care management was restricted, the number of patients and doctors' overtime work increased compared to before the spread of COVID-19, and the surrounding environment led to an increase in the number of incidents. The environments in ICUs must be actively improved to prepare for an even more severe situation in the future.

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Section: Discussionmentioning

confidence: 86%

The Impact of the COVID-19 Outbreak on Intensive Care in Northern Saitama Japan

et al. 2021

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“…At the same time, the lowest average number of interventions was reported between April 1-April 15, 2020 (-80%). 18 Similarly, another American group found the same significant reduction in interventional cardiology procedures during the pandemic (down by 38%), compared to the period before the COVID-19 outbreak. 19 A study performed in North Carolina, which looked into the number of cardiac catheterization cases indicated for STEMI between January-March (from 2018 to 2020), showed a 9.5% decrease in cases between February and March, 2020 compared to the monthly average of cases in the same period in 2018 and 2019.…”

Section: The Impact Of the Covid-19 Pandemic On Cardiovascular Emergementioning

confidence: 84%

Decrease of Cardiovascular Emergencies During the COVID-19 Pandemic

Licu¹,

Blindu²,

Benedek³

et al. 2020

Journal of Cardiovascular Emergencies

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The new coronavirus (COVID-19) outbreak was declared a pandemic by the World Health Organization on March 11, 2020. Since then, important changes have been observed in the medical world, both in terms of patient management and patient presentations to the hospital. A dramatic decrease in the number of cardiovascular emergencies presenting to the emergency rooms has been reported in every country affected by the COVID-19 pandemic. This resulted mainly from the fear of patients to present at the hospital due to the risk of infection with the new coronavirus. Moreover, a significant increase in the time spent for investigations and specialized treatment has been reported for patients suffering from acute cardiovascular diseases. This adds to the longer times reported from symptom onset to presentation, and also to the longer period spent for triage in the emergency room. The aim of this paper is to highlight the dramatic reduction in the number of cardiovascular emergencies during the COVID-19 period and its possible explanations.

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“…In one study, there was a reduction in ST segment elevation myocardial infarction (STEMI) cases as measured by a 38% reduction in STEMI activations across 9 high volume cardiac catheterization laboratories [6]. This reduction in STEMI cases and hospitalizations was supported by other studies in the USA and globally [7][8][9].…”

Section: Introductionmentioning

confidence: 81%